The nurse is caring for a patient in Buck's (skin) traction. Which task is best to delegate to the UAP (with supervision)?
a) Turning and repositioning
b) Inspecting heels and sacral area
c) Asking the patient about muscle spasms
d) Adjusting the weights on the apparatus
Answer: a) Turning and repositioning
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The State Board of Health requests the employee file of all agency nurses employed within the past year. At the end of the review the organization receives a sanction associated with these nurses. What is the most likely cause of this sanction?
1. No current address on file for the nurse 2. Past employment history not documented in file 3. Evaluation of the nurse's performance missing from file 4. No documentation of past certifications in file
An elderly patient comes into the emergency department complaining of an earache. The patient and has an oral temperature of 100.2 degrees Fahrenheit
Otoscopic assessment of the ear reveals a pearly gray tympanic membrane with no evidence of discharge or inflammation. Which action should the triage nurse take next? A) Palpate the client's parotid glands to detect swelling and tenderness. B) Assess the temperomandibular joint for evidence of a malocclusion. C) Test the integrity of the12th cranial nerve by asking the client to protrude his tongue. D) Inspect the client's gums for bleeding and hyperpigmentation.
What interrelated constructs facilitate a nurse to become culturally competent?
a. Cultural diversity, self-awareness, cultural skill, and cultural knowledge b. Cultural desire, self-awareness, cultural knowledge, and cultural identity c. Cultural desire, self-awareness, cultural knowledge, and cultural diversity d. Cultural desire, self-awareness, cultural knowledge, and cultural skill
In the absence of a baseline blood pressure, which of the following blood pressures would be considered hypertension in pregnancy?
a. 130/80 b. 135/88 c. 128/90 d. 138/78